Walden

Question 1

High levels of serotonin, high fever, muscular rigidity, mental status changes, hyperreflexia, dilated pupils, life threatening reaction, contraindicated with MOA, TCA, SSRI

Answer 1

Acute serotonin syndrome

Question 2

Rare life threatening idiopathic reaction from typical and atypical antipsychotics, affect dopamine in the brain, high fever, muscular rigidity, mental status, fluctuating BP, urinary incontinence

Answer 2

Malignant neuroleptic syndrome

Question 3

Allows 72 hours involuntary detention for evaluation and treatment of high
risk suicidal patients.

Answer 3

Baker act

Question 4

Zyprexa, Risperdal, Seroquel

Answer 4

Atypical antipsychotics

Question 5

Haldol black box warning

Answer 5

Typical antipsychotic

Question 6

Sudden death in elderly, prolong QT interval fata arrhythmia torsade’s
de point

Answer 6

Antipsychotics

Question 7

Lamictal,Tegretol, Depakote

Answer 7

Anticonvulsant

Question 8

Side effect- loss of libido Erectile dysfunction, anorexia,

Answer 8

SSRI

Question 9

first line treatment
of OCD/depression, celexa/citalopram, Lexapro/escitalopram, Prozac/fluoxetine,
Zoloft/sertraline, Paxil/paroxetine

Answer 9

SSRI

Question 10

Wellbutrin (increases risk of seizures) , Zyban(smoking)

Answer 10

Atypical antidepressant

Question 11

Effexor, Cymbalta

Answer 11

SNRI

Question 12

For depression, can be for post herpetic neuralgia, Elavil, doxepin, nortriptyline,
side effect- suicide, hoard pills, cardiac arrhythmias and neuro effects seizures

Answer 12

TCA

Question 13

Bipolar disorder

Answer 13

Lithium

Question 14

Contraindicated with other antidepressants and high tyramine foods ( fermented
foods, beer cheese wine fava beans)

Answer 14

MAO

Question 15

Anxiety panic or insomnia,

Answer 15

Benzodiazepines

Question 16

Used for severe alcohol withdrawal and seizures

Answer 16

Valium

Question 17

Disturbance in cognitive, emotional behavior, somatic regulations, depressed mood and loss of interest or pleasure.

Answer 17

Depression

Question 18

Depressed mood for 2 weeks or longer,

Answer 18

Depression - time Dx

Question 19

anhedonia, decreased/increased appetite, weight loss or gain, sleep disorder, psychomotor agitation or retardation, fatigue, loss of energy, feeling of worthlessness(poor self-image), inappropriate guilt, recurrent thoughts of death(suicide), difficulty thinking or concentrating/indecisiveness.

Answer 19

Depressions behaviour

Question 20

Dx - CBC, TSH, Vit B12

Answer 20

Depression - Dx

Question 21

Tx - rule out other disease refer psychotherapy ,first line SSRI

Answer 21

Depression - Tx

Question 22

Akinesia- inability to initiate movement, akathisia- unable to stay still, tardive dyskinesia- involuntary movements- lip smacking, tongue face and extremities

Answer 22

Extrapyramidal symptoms

Question 23

Inability to experience pleasure from activities usually found enjoyable

Answer 23

Anhedonia

Question 24

Is a behavior disorder, common comorbidities- oppositional defiant disorder, conduct disorder, learning disorder, depression, anxiety, tics and Tourette’s, bipolar and substance abuse

Answer 24

ADHD

Question 25

SSRI, antidepressant, sertraline, reduce sperm count, increases infertility Black Box warning

Answer 25

Zoloft

Question 26

Olanzapine, antipsychotic, for schizo and bipolar, monitor CBC for low WBC, weight, b/p, mental status, lips, prolactin, glucose CAUSES ELEVATED LIPDS

Answer 26

Zyprexa

Question 27

is characterized by mania and depression refer to psychiatrist TX lithium, Depakote, SSRI

Answer 27

Bipolar

Question 28

delusions, paranoia, disorganized speech, hallucinations, refer to psychiatrist, KNOW MEDS AND TX

Answer 28

Schizophrenia

Question 29

Inflated sense of self, during manic episode, bipolar symptom, narcissistic disorder, special powers, spiritual connections, or religious relationships

Answer 29

Grandiosity

Question 30

Onset adolescence, fear of gaining weight, purging uses laxatives, vomiting, binge eating, food restriction, complications osteoporosis, BMI <18.5, lanugo, amenorrhea, peripheral edema, cardiac arrhythmias

Answer 30

Anorexia nervosa

Question 31

Characterized by flashbacks of traumatic event, Dx - PTSD checklist, PCL-5, Tx - first line treatment SSRI, cognitive behavioral therapy, eye movement desensitization and reprocessing (EMDR)

Answer 31

PTSD

Question 32

Depression, menopausal symptoms

Answer 32

St john wort

Question 33

Anxiety and insomnia

Answer 33

Kava Kava/valerian root

Question 34

Spelling or counting backwards

Answer 34

Attention and calculation

Question 35

Is when maladaptive behavior pattern occurs from repeated alcohol abuse BAC >.08 is illegal Dx - GGT, AST ALT

Answer 35

Alcohol abuse

Question 36

Screening for problem drinking or dependence, 2 out 4 suggests alcohol abuse

Answer 36

Cage Questionnaire

Question 37

Sudden onset of confusion, delusions, hallucinations, grand mal seizures Tx - benzodiazepine, Vitamins AA, refer to ED

Answer 37

Acute delirium tremors

Question 38

Chronic thiamine deficiency

Answer 38

Korsakoff’s syndrome

Question 39

Nicotine gum, chew and par in buccal mucosa, no smoking cause nicotine overdose, cause MI, HTM Tx - Zyban and/or Chantix

Answer 39

Smoking cessation

Question 40

Tx - first line is sleep hygiene, refer to sleep lab, Benadryl, Benzodiazepines

Answer 40

Insomnia